NPI 1437771888
Jenna M. Jackson, PA
Physician Assistant · Cape Girardeau, MO
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 15, 2026, 4:31 am EDT
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Jenna M. Jackson, PA is a health care provider (Physician Assistant) in Cape Girardeau, Missouri with National Provider Identifier (NPI) 1437771888. The NPI was issued on May 8, 2020 and the registry record was last updated on Aug 8, 2024. The registry lists 2 licenses in Missouri, Illinois.
Registry record
- NPI
- 1437771888
- Type
- Individual (NPI-1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice location
- 3250 Gordonville Rd Ste 358
Cape Girardeau, MO 63703-5095 - Phone
- (573) 331-3155
- NPI issued
- May 8, 2020
- Registry record updated
- Aug 8, 2024
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | Missouri | 2021043554 |
| Physician Assistant, Medical | 363AM0700X | Illinois | 085008569 |
Confirm license status and discipline with the state board (links in NPI Lookup).
Physician Assistant providers in Missouri
- Christopher SadlerRolla, MO
- James N. Wheeler, P.A.-CHannibal, MO
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.